NPIMap

Organization Active NPI

Beaufort County Alcohol & Drug Abuse Department

  • Substance Abuse Rehabilitation Facility
  • Beaufort, SC
National Provider Identifier
1487653606
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BEAUFORT COUNTY ALCOHOL & DRUG ABUSE DEPARTMENT
Practice address
1905 Duke St
Ste 270
Beaufort, SC 29902-4403
Phone
(843) 470-4545
Fax
(843) 470-4557
NPI assigned
Jul 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Douglas Haigh Boyne Jr.
Title
Director
Phone
(843) 470-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

1905 Duke St
Ste 270
Beaufort, SC 29902-4403

Mailing address

PO Box 311
Beaufort, SC 29901-0311
Phone (843) 470-4545

Other identifiers 1

IdentifierTypeStateIssuer
AD21BEMedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
County Council of Beaufort County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487653606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299010311",
            "telephone_number": "843-470-4545",
            "fax_number": "843-470-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 DUKE ST",
            "address_2": "STE 270",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024403",
            "telephone_number": "843-470-4545",
            "fax_number": "843-470-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY ALCOHOL & DRUG ABUSE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYNE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "HAIGH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-470-4550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD21BE",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.